الفهرس 
Nerve Supply of the Knee
Pain after Knee ArthroscopyOnly 14 pages are availabe for public view
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Abstract
SUMMARY Postoperative pain management after knee operations continues to evolve with better treatment strategies being formulated to improve patient satisfaction, clinical outcomes and reduce opioid use in the immediate postoperative period. IPACK combined with an adductor canal block for analgesia after total knee arthroscopy has mild motor block, little impact on postoperative muscle strength and has a superior analgesic effect to the traditional lower limb blocks. Most recently, the Genicular Nerves Block (GNB) emerged as a novel intervention for alleviating postoperative pain in knee arthroscopy to provide adequate coverage of anterior knee capsule, medial, and supero-lateral aspects of the knee. This prospective randomized controlled study was designed to investigate the post-operative analgesic effect of adductor canal block (ACB) combined with infiltration of the interspace between popliteal artery and the capsule of posterior knee (IPACK) block compared to genicular nerves block in patients undergoing knee arthroscopy. • The primary outcome of the study was the postoperative 24 hour total opioid consumption. • The secondary outcome of the study was to assess post-operative pain by Numeric Rating Scale pain scores and time taken till 1st rescue analgesic request. This study was carried out in Tanta University Hospitals in Orthopedics’ operation theaters within one year, one hundred and five patients were enrolled in this study randomly classified into three equal groups of 35 patients each.